NPI | 1114495959 |
---|---|
Former Name | CHRISTINA MARIE LIOTTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60842438) |
Enumeration Date | 2018-11-09 |
Last Update Date | 2018-11-09 |